Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07121 | Date 25/06/2024 |
| Token No | SM/25-26/4609 12/07/2025 | Serial | 030 |
| Patient Name | Mr. PAPAI CHAKRABORTY | Contact No | 7044765580 |
| Address | 32/D TARAPUKUR LANE SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||